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psnet.ahrq.gov/issue/information-transfer-hospital-discharge-systematic-review
February 21, 2015 - Review
Classic
Information transfer at hospital discharge: a systematic review.
Citation Text:
Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.000000000000…
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psnet.ahrq.gov/issue/using-learning-system-approach-improve-safety-prone-position-ventilation-patients
January 10, 2024 - Study
Using a learning system approach to improve safety for prone-position ventilation patients.
Citation Text:
Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone-position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.10…
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psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
December 07, 2022 - Study
The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.
Citation Text:
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…
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psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
May 31, 2011 - Review
Classic
Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment.
Citation Text:
Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
September 20, 2011 - Commentary
Creating high reliability in health care organizations.
Citation Text:
Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617.
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psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
July 25, 2018 - Review
Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review.
Citation Text:
Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;4…
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psnet.ahrq.gov/issue/safety-inpatient-health-care
May 15, 2024 - Study
The safety of inpatient health care.
Citation Text:
Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117.
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psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
April 06, 2022 - Study
A recent two-fold increase in medical adverse event deaths among US inpatients.
Citation Text:
Oura P, Sajantila A. A recent two-fold increase in medical adverse event deaths among US inpatients. J Public Health Res. 2022;11(4):227990362211399. doi:10.1177/22799036221139935.
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psnet.ahrq.gov/issue/what-i-wish-id-known-how-experienced-physician-managers-diagnose-treat-and-prevent-disruptive
September 23, 2020 - Commentary
What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.
Citation Text:
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(…
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psnet.ahrq.gov/issue/rapid-response-teams-patient-safety-practice-failure-rescue
January 26, 2022 - Commentary
Rapid response teams as a patient safety practice for failure to rescue.
Citation Text:
Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510.
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psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
December 17, 2008 - Commentary
Experience with family activation of rapid response teams.
Citation Text:
Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223.
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psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral
January 25, 2023 - Study
Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management.
Citation Text:
Finn A, Bondarenka C, Edwards K, et al. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemot…
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psnet.ahrq.gov/issue/development-and-validation-brief-culture-safety-survey
May 26, 2021 - Study
Development and validation of a brief culture-of-safety survey.
Citation Text:
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
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psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
June 18, 2014 - Study
The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy.
Citation Text:
Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic orde…
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psnet.ahrq.gov/issue/hospital-night-organizational-design-provides-safer-care-night
November 16, 2022 - Study
Hospital at night: an organizational design that provides safer care at night.
Citation Text:
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
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psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting
March 09, 2022 - Study
An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.
Citation Text:
Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…
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psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients
April 21, 2021 - Study
Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.
Citation Text:
Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …
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psnet.ahrq.gov/issue/device-use-errors-among-patients-asthma-and-copd-and-role-training-real-life-study
June 22, 2022 - Study
Device use errors among patients with asthma and COPD and the role of training: a real-life study.
Citation Text:
Papaioannou AI, Bartziokas K, Hillas G, et al. Device use errors among patients with asthma and COPD and the role of training: a real-life study. Postgrad Med. 2021;133…
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psnet.ahrq.gov/issue/it-rational-pursue-zero-suicides-among-patients-health-care
October 18, 2023 - Commentary
Is it rational to pursue zero suicides among patients in health care?
Citation Text:
Mokkenstorm JK, Kerkhof AJFM, Smit JH, et al. Is It Rational to Pursue Zero Suicides Among Patients in Health Care? Suicide Life Threat Behav. 2018;48(6):745-754. doi:10.1111/sltb.12396.
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psnet.ahrq.gov/issue/psychological-experiences-nurses-after-inpatient-suicide-meta-synthesis-qualitative-research
February 23, 2022 - Review
The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies.
Citation Text:
Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta‐synthesis of qualitative research studies. J Adv …